Organization Active NPI

Summerlane Counseling LLC

  • Professional Counselor
  • Montgomery, AL
National Provider Identifier
1679285365
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SUMMERLANE COUNSELING LLC
Practice address
964 Excelsior Dr
Montgomery, AL 36117-4514
Phone
(334) 413-2235
NPI assigned
Dec 14, 2022
Last updated
Dec 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Memendra Harris, M.ED, LPC-S, NCC, MANPI 1881160281
Title
Managing Director
Phone
(334) 413-2235

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

964 Excelsior Dr
Montgomery, AL 36117-4514

Mailing address

4171 Lomac St.
Ste F #1127
Montgomery, AL 36106-2945
Phone (334) 413-2235

Other practice location 1

300 Broad St
Selma, AL 36701-4556
Phone (334) 413-2235

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1679285365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4171 LOMAC ST.",
            "address_2": "STE F #1127",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062945",
            "telephone_number": "334-413-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "964 EXCELSIOR DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361174514",
            "telephone_number": "334-413-2235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Broad St",
            "address_purpose": "LOCATION",
            "city": "Selma",
            "state": "AL",
            "postal_code": "367014556",
            "country_code": "US",
            "telephone_number": "334-413-2235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUMMERLANE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MEMENDRA",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "334-413-2235",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED, LPC-S, NCC, MA"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.